Smith, Larry

Smith, Larry is an individual health care provider with primary practice located at 164 Waccamaw Medical Park Dr , Conway SC 29526-8903. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Smith, Larry can be contacted via phone (843) 347-4888.

Contact Information

Primary practice address
164 Waccamaw Medical Park Dr Conway SC 29526-8903
Phone: (843) 347-4888
Fax: (843) 347-3959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2413A North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2413A North Carolina

Profile Details

NPI number 1235474909
LBN Legal business name Smith, Larry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2012
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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